护士在沙特阿拉伯提供精神科护理时所遇到的障碍的看法。
Nurse views of obstacles encountered by nurses in Saudi Arabia during the provision of psychiatric care.
机构信息
Community and Psychiatric Department, Nursing College, King Saud University, P.O. Box 54995, Riyadh 11524, Saudi Arabia.
Department of Maternal and Child Health, Nursing College, Postgraduate and Research Center, King Saud University, P.O. Box 54995, Riyadh 11524, Saudi Arabia.
出版信息
Arch Psychiatr Nurs. 2023 Jun;44:8-17. doi: 10.1016/j.apnu.2023.03.005. Epub 2023 Mar 16.
BACKGROUND
Nursing staff within the mental health sector are major actors in delivering healthcare. They face considerable obstacles that may hinder the provision of high-quality care to patients with mental health challenges.
AIM
The current study offers a description of mental health nurses' viewpoints, insights into obstacles encountered during their experiences, and recommendations for enhancing psychiatric inpatient nursing care and achieving progress toward the goals set out by Saudi Vision 2030.
METHODS
The study employed a phenomenological qualitative design. Semistructured interviews were conducted with 10 currently practicing mental health nurses during two focus group sessions. The inductive data produced underwent member and peer checking. Emergent themes and subthemes were extracted.
RESULTS
Two main themes and related subthemes were identified. The first theme-obstacles faced by mental health nurses-was composed of the following subthemes: policy at institutions; clear job roles; low professional self-confidence and inadequate support; stressed, insecure, and unsafe; and stigmatization. The second theme-recommendations to improve the quality of mental health nursing-was composed of two subthemes: to enhance mental health awareness and improve professional skills and education.
CONCLUSION
The data suggest that maintaining high-quality nursing standards within an inpatient psychiatric facility requires a consistent and accountable organizational structure, which can lead to fostering the development and improvement of relevant nursing skills through continuing education, improved awareness of mental health disorders and care within the community, and initiatives to combat the stigma of mental disorders among patients, families, and communities.
背景
精神卫生领域的护理人员是提供医疗保健的主要角色。他们面临着相当多的障碍，这些障碍可能会阻碍他们为有精神健康挑战的患者提供高质量的护理。
目的
本研究描述了精神科护士的观点，深入了解他们在工作中遇到的障碍，并为加强精神科住院护理以及实现沙特 2030 愿景提出的目标提出建议。
方法
本研究采用现象学定性设计。在两次焦点小组会议中，对 10 名目前从事精神科护理工作的护士进行了半结构化访谈。通过成员和同行检查对归纳数据进行了检查。提取了出现的主题和子主题。
结果
确定了两个主要主题和相关的子主题。第一个主题是精神科护士面临的障碍，由以下子主题组成：机构政策；明确的工作角色；职业自信低且支持不足；压力大、不安全和不安全；以及污名化。第二个主题是改善精神科护理质量的建议，由两个子主题组成：提高精神卫生意识和提高专业技能和教育。
结论
数据表明，要在精神病院内保持高质量的护理标准，需要一个一致和负责的组织结构，这可以通过继续教育、提高社区内对精神障碍和护理的认识、以及开展消除患者、家庭和社区对精神障碍污名化的举措来促进相关护理技能的发展和提高。
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